2009 Castrol Banquet Of Champions Reservation Form

ALL TEAMS ARE WELCOME!

2009 Série ACT Castrol Banquet of Champions Saturday, November 21, 2009 Best Western Hotel Universel - Drummondville, Quebec Social Hour 6:00 p.m. - Dinner 7:00 p.m. Please reserve the following tickets for my group for the banquet:

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________ tickets at a cost of $60 00 each = $____________________ Name:___________________________Division_____________Team #__________ Address:_____________________________________________________________ City:_____________________State/Province:_______________ZIP_____________ Daytime Phone: (________)____________________

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Form of payment: “ Check “ Cash “ Credit Card

Circle One:

iPLEASE LIST ALL DRIVERS INCLUDED IN YOUR PARTY:

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Visa MasterCard Discover

#__________________________________________ exp.__________

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Card Holder’s Name:___________________________________________________________

RESERVATION DEADLINE: MONDAY, NOVEMBER 2, 2009

Reservations will be honored on a first-come, first-served basis, according to availability. NO reservations will be accepted without payment, and reservations are subject to immediate cancellation if payment is not honored by the bank. Reservations WILL NOT be accepted over the phone, and NO TICKETS WILL BE AVAILABLE AT THE DOOR – YOU MUST PURCHASE YOUR TICKET IN ADVANCE IN ORDER TO ATTEND THIS EVENT – TICKETS ARE REQUIRED FOR ATTENDANCE. For planning purposes, tables are arranged in rounds of 8 persons per table. Please return this form with payment (checks payable) to:

ACT Attn: Darla Hartt P.O. Box 296 Waterbury, VT 05676